Application form (TWCYP)

Thank you for your interest in our MSc Psychoanalytic Observation and Reflective Practice: Therapeutic Work With Children and Young People (TWCYP).

Please note that this application cannot be saved and completed later. It may be helpful if you review the questions and have the information to hand before starting your application.

TO COMPLETE YOUR APPLICATION, YOU MUST SUBMIT THE FORM AND PAY THE FEE. A standard non-refundable application processing fee of £30 applies.

Thanks and we look forward to receiving your application.

Your details

Title (required)

First name (required)

Surname (required)

Address (required)

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Postcode (required)

Home telephone number

Mobile telephone number (required)

Other telephone number

Email (required)

Date of birth (required)

Nationality (required)

Is English your first language? (required)

YesNo

Do you consider yourself to have a disability or health condition? (required)

YesNo

If you answered yes, please state any special requirements that would assist you in your work or studies.

Current occupation (required)

Previous work experience (please provide: dates/organisation/experience) (required)

Academic/professional qualification (please provide: dates/organisation/qualification) (required)

Please tell us your reasons for applying to this course (required)

Referee #1

Name of referee (required)

Relationship to applicant (required)

Position/occupation (required)

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Referee #2 (must be your employer)

Name of line manager (required)

Position/occupation (required)

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Course fees

Who is responsible for paying the fees? (required)

Name and address to which invoice should be sent (if other than yourself)

Please note that the applicant is liable for the fee, irrespective of the source of funding and fees are non-refundable. Applications without billing information will not be processed.

Other information required

Have you attended course any other HDS courses? (please provide: dates/titles)

How did you hear about this course? (required)

If you are happy to receive information about any other HDS courses, training, events or services please select the ways in which we can contact you below:

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Declaration

I confirm that all the information contained in this application is correct and to the best of my knowledge. (required)

Yes

To complete your application, please click the ’Send’ button to pay the standard non-refundable application processing fee of £30 in order for your application to be processed. Thank you.

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